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Difficulties in assessing alexithymia in motor and non-motor functional gastrointestinal disorders

Published online by Cambridge University Press:  16 April 2020

A. Rodríguez-Urrutia
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
M.D. Braquehais
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
A. Accarino
Affiliation:
Digestive System Research Unit, Vall d’Hebron University Hospital, Autonomous University of Barcelona, Barcelona, Spain
M.J. Bel
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
M. Quesada
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
P. Lusilla
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
G. Parramon
Affiliation:
Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain

Abstract

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Introduction

Alexithymia is said to be an important feature of functional gastrointestinal disorders (FGD). Most studies focus on the presence of alexithymia in patients suffering non-motor FGD (NMFGD) but few studies have analyzed its occurrence in motor FGD (MFGD) patients.

Objectives

- To describe the presence of alexithymia, measured with the Toronto Alexithymia Scale (TAS-20), in a sample of FGD inpatients.

- To analyze the differences in alexithymia, measured with the TAS-20, between MFGD and NMFGD inpatients.

Material and method

46 inpatients admitted to the Vall d’Hebron Digestive System Research Unit to study the existence of FGD were evaluated from January 2008 to July 2010. All patients completed the Toronto Alexithymia Scale (TAS-20).

Results

The mean age of the sample was 41.02 ± 16.86 years, 89.1% were women and 10.9% were men. With regard to their diagnostic condition, 31 met criteria of NMFGD, 13 of MFGD, and 2 did not met criteria of both disorders. The mean TAS-20 total score was: 46.24 ± 13.60. MFGD patients obtained a mean score of 45.45 ± 12.53, and patients with NMFGD had a mean score of 45.75 ± 12.53. No statistically significant differences were found between both subtypes with regard to alexithymia.

Conclusions

Alexithymia, measured with the TAS-20, may not be present in FGD. Discordances of our results with previous findings in FGD may be due to complex psychosocial factors and to psychometric difficulties in assessing alexithymia in this group of patients.

Type
P01-391
Copyright
Copyright © European Psychiatric Association2011
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